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pain\tand\tneed\n\tfor\tmedication\nNone\treported\nCreatine\nIncreases\tlean\tmass\nand\tstrength,\nenhances\trecovery\nfrom\tintense\nexercise;\tenhances\nadaptive\tresponse\nto\texercise;\nincreases\nintracellular\twater;\nenhances\trecovery\nfrom\tDOMS;\ndecreased\nrisk/enhanced\nrecovery\tfrom\tTBI\nWell\tstudied,\tshows\tbenefit\tfor\thigh-\nintensity\tintermittent\tactivity,
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years;\tweight\ngain\tdue\tto\nwater\nretention\tnot\nsuitable\tfor\nweight\ndependent\nsports;\nanecdotal\nreports\tof\nnausea,\ndiarrhea,\nstiffness,\theat\nintolerance\nOmega\t3\tfatty\tacids\nImproved\tcognitive\nprocessing,\ndecreased\n\trisk,\nenhanced\trecovery\nfrom\tTBI;\treduced\nsymptoms\tor\nenhanced\trecovery\nfrom\tDOMS\nFew\tdata\ton\tTBI,\tanimal\tstudies\tshow
|
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duration\tof\tGI\ndistress;\tdecreased\nincidence\tduration\nand\tseverity\tof\tURTI\nModest\tbenefits\tto\tathletes\tw/GI\nissues\tor\ttraveling\tto\tregions\nwhich\tGI\tissues\tmore\tlikely;\tmost\nstudies\treport\treduced\tincidence\nof\tURTI\tbut\tspecific\nrecommendations/strains\tdifficult\nto\tascertain\nDosing\tregimens\nof\t10\t(9)\tto\t4\tx\n10\t(10)\tfor\t4-\n21\tweeks\nCOQ\n10
|
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] |
Dosing\tregimens\nof\t10\t(9)\tto\t4\tx\n10\t(10)\tfor\t4-\n21\tweeks\nCOQ\n10\nCofactor\tfor\tATP\nproduction;\telectron\ntransport\tin\nmitochondria;\nreduces\tfatigue\nMixed:\tdouble-blinded,\tplacebo,\ncrossover\ttrial,\t100\tmg/d\tfor\t2\nmonths,\tlift\tloads\tof\t75\tg/kg\tof\nbody\tweight\t5x/30\ts\timproved\nmean\tpower;\tmay\timprove\tin\tthose\nwith\tmitochondrial\tdisorders\tor
|
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] |
mean\tpower;\tmay\timprove\tin\tthose\nwith\tmitochondrial\tdisorders\tor\nCoQ\tdeficiency\nSodium\nbicarbonate/sodium\ncitrate\nBuffers\tlactic\tacid\nproduction;\tdelays\nfatigue\nHigh\tlevel\tof\tintraindividual\nvariability\tin\tperformance;\nincreases\tbody’s\tability\tto\tbuffer\nlactic\tacid\tduring\tsub\tmax\texercise\nfor\tevents\n\tlasting\t1-7\tmin\nStomach\tdistress:\nbloating,
|
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] |
for\tevents\n\tlasting\t1-7\tmin\nStomach\tdistress:\nbloating,\ndiarrhea;\ndangerous\tin\nhigh\tdoses;\nalkalosis;\ndosing\twith\nsmall\ncarbohydrate\nmeal\tmay\nreduce\tGI\nupset\nSodium\tphosphate\nBuffer\nSome;\tincreases\tVO\n2\nmax\tand\nanaerobic\tthreshold\tby\t5%-10%;\nimproves\tendurance\nStomach\tdistress\nCreatine\nImproves\tstrength,\npower,\tand\nIncreases\tmuscle\tfree\tcreatine,
|
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] |
Improves\tstrength,\npower,\tand\nIncreases\tmuscle\tfree\tcreatine,\nphosphocreatine;\tperformance\nWeight\tgain\n0.8%-2.9%;
|
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] |
intermittent\tsprint\nperformance;\naccelerates\ttraining\nrecovery\neffect\tseen\tin\tsprint/power\tthrough\nendurance\tby\tenhancing\tmuscle\nglycogen\tstorage;\tstimulates\nmuscle\tanabolism,\tmuscle\nrelaxation;\teffects\tmay\tfade\tafter\t2\nmonths\tsupplementation;\tconsume\nwith\tCHO\tto\tincrease\tlevels\tto\ngreater\textent\nwatch\twith\nweight-\nsensitive\nsports;\nunknown\tlong
|
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greater\textent\nwatch\twith\nweight-\nsensitive\nsports;\nunknown\tlong\nterm\nALA\n,\tα-Lipoic\tacid;\t\nATP\n,\tadenosine\ttriphosphate;\t\nBM\n,\tbody\tmass;\t\nCF\n,\tcardiorespiratory\tfitness;\t\nCHO\n,\tcholesterol;\t\nCK,\n\tcreatine\tkinase;\t\nDOMS\n,\ndelayed\tonset\tmuscle\tsoreness;\t\nEAA\n,\tessential\tamino\tacid;\t\nGH\n,\tgrowth\thormone;\t\nGI\n,\tgastrointestinal;\t\nHIIT
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GH\n,\tgrowth\thormone;\t\nGI\n,\tgastrointestinal;\t\nHIIT\n,\thigh-intensity\tinterval\ttraining;\t\nHGH\n,\nhuman\tgrowth\thormone;\t\nHMB\n,\tβ-hydroxy-β-methylbutyrate;\t\nIL-8\n,\tinterleukin-8;\t\nLDL\n,\tlow-density\tlipoprotein;\t\nNO\n,\tnitric\toxide;\t\nTBI\n,\ttraumatic\tbrain\ninjury;\t\nTNF-\nα:\ttumor\n\tnecrosis\tfactor\talpha;\t\nURTI\n,\tupper\trespiratory\ttract\tinfection.\nB\tvitamins
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URTI\n,\tupper\trespiratory\ttract\tinfection.\nB\tvitamins\nIncreased\tenergy\tmetabolism\tcreates\ta\tneed\tfor\tmore\tof\tthe\tB\tvitamins,\tincluding\tthiamin,\nriboflavin,\tniacin,\tpyridoxine,\tfolate,\tbiotin,\tpantothenic\tacid,\tand\tcholine,\twhich\tserve\tas\tpart\tof\ncoenzymes\tinvolved\tin\tregulating\tenergy\tmetabolism\tby\tmodulating\tthe\tsynthesis\tand\tdegradation\tof
|
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] |
carbohydrates,\tprotein,\tfat,\n\tand\tbioactive\tcompounds.\nSome\tathletes\twho\thave\tpoor\tdiets,\tand\tathletes\tsuch\tas\twrestlers,\tjockeys,\tfigure\tskaters,\ngymnasts,\tor\trowers\twho\tconsume\tlow-calorie\tdiets\tfor\tlong\tperiods\tof\ttime\tmay\tbe\tprone\tto\ndeficiencies.\tA\tB-complex\tvitamin\tsupplement\tto\tmeet\tthe\tRDA\tmay\tbe\tappropriate\t(\nThomas\tet\tal,\n2016
|
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] |
Thomas\tet\tal,\n2016\n).\tHowever,\tthere\tis\tno\tevidence\tthat\tsupplementing\tthe\twell-nourished\tathlete\twith\tmore\n\tB\nvitamins\tincreases\tperformance.\nThe\tintake\tof\tfolate\tcould\tpotentially\tbe\tlow\tin\tathletes\twhose\tconsumption\tof\twhole\tgrains,\twhole\nfruits,\tand\tvegetables\tis\tlow.\tLikewise\ta\tdeficiency\tof\tvitamin\tB\n12\n\tcould\tdevelop\tin\ta\tvegetarian
|
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12\n\tcould\tdevelop\tin\ta\tvegetarian\nathlete\tafter\tseveral\tyears\tof\ta\tstrict\tvegan\tintake;\tthus\ta\tvitamin\tB\n12\n\tsupplement\tmay\tbe\twarranted.\nHowever,\twhile\tcorrecting\tfolate\tand\tvitamin\tB\n12\n\tdeficiencies\n\twith\ta\tsupplement\tmay\tbe\twarranted\nfor\ta\tsafeguard\tfor\thealth,\tsupplementation\tfor\teither\tvitamin\thas\tnot\tbeen\tshown\tto\timprove\nperformance.
|
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performance.\nAntioxidants\nAntioxidants\thave\tbeen\tstudied\tindividually\tand\tcollectively\tfor\ttheir\tpotential\tto\tenhance\texercise\nperformance\tor\tto\tprevent\texercise-induced\tmuscle\ttissue\tdamage.\tCells\tcontinuously\tproduce\tfree\nradicals\tand\t\nreactive\toxygen\tspecies\t(ROS)\n\tas\ta\tpart\tof\tmetabolic\tprocesses.\tThe\trate\tof\tVO\n2
|
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as\ta\tpart\tof\tmetabolic\tprocesses.\tThe\trate\tof\tVO\n2\nduring\texercise\tmay\tincrease\t10-\tto\t15-fold,\tor\tas\tmuch\tas\t100-fold\tin\tactive\tperipheral\tskeletal\nmuscles.\tThis\toxidative\tstress\tincreases\tthe\tgeneration\tof\tlipid\tperoxides\tand\tfree\tradicals,\tand\tthe\nmagnitude\tof\tstress\tdepends\ton\tthe\tability\tof\tthe\tbody’s\ttissues\tto\tneutralize\tROS\t(see
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] |
Chapter\t7\n).\nFree\tradicals\tare\tneutralized\tby\tantioxidant\n\tdefense\tsystems\tthat\tprotect\tcell\tmembranes\tfrom\noxidative\tdamage.\tThese\tsystems\tinclude\tcatalase;\tsuperoxide\tdismutase;\tglutathione\tperoxidase;\nantioxidant\tvitamins\tA,\tE,\tand\tC;\tselenium;\tand\tphytonutrients\tsuch\tas\tcarotenoids\t(see\t\nChapter\t7\n).
|
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] |
Chapter\t7\n).\nSusceptibility\tto\toxidative\tstress\tvaries\tfrom\tperson\tto\tperson,\tand\tthe\teffect\tis\tinfluenced\tby\tdiet,\nlifestyle,\tenvironmental\tfactors,\tand\ttraining.\n\tAntioxidant\tnutrients\tmay\tenhance\trecovery\tfrom\nexercise\tby\tmaintaining\toptimal\timmune\tresponse\tand\tlowering\tlipid\tperoxidation.
|
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Although\tlarge-dose\tantioxidant\tsupplementation\tattenuates\texercise-induced\tROS\tproduction\tand\nconsequential\toxidative\tdamage,\tstudies\tsuggest\toversupplementation\tmay\tblock\tnecessary\tcellular\nadaptations\tto\texercise\t(\nSureda\tet\tal,\t2013\n).\tFurther\tresearch\tis\tneeded\tto\n\tassess\tthe\tresponse\tto
|
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] |
).\tFurther\tresearch\tis\tneeded\tto\n\tassess\tthe\tresponse\tto\nsupplementation\twith\tvarying\tdegrees\tof\texercise\tduration\tand\tintensity\t(\nSureda\tet\tal,\t2013\n).\nA\tdiet\trich\tin\tfruits\tand\tvegetables\tcan\tensure\tan\tadequate\tintake\tof\tantioxidants,\tand\tprudent\tuse\nof\tan\tantioxidant\tsupplement\tmay\tprovide\tinsurance\tagainst\ta\tsuboptimal\tdiet\tand\tthe\tincreased
|
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] |
stress\tfrom\texercise.\tResearch\thas\talso\tshown\tthe\tpositive\tbenefits\tof\tphytonutrients\n\twith\nantiinflammatory\tand\tantioxidant\teffects,\twhich\tmay\thelp\twith\tposttraining\tinflammation.\tExamples\ninclude\tanthocyanins\tin\tpurple\tand\tred\tfruits\tand\tvegetables,\tand\tquercetin\tfound\tin\tred\tonions,
|
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blueberries,\ttomatoes,\tapples,\tblack\ttea,\tand\tpurple\tgrapes.\tCompounds\tfound\tin\ttart\tcherry\tjuice\nhelp\tto\treduce\tinflammation,\tmuscle\tdamage,\tand\toxidative\tstress\t(\nRawson\tet\tal,\t2018\n).\nVitamin\tD\nOver\tthe\tpast\tfew\tyears,\tvitamin\tD\thas\tbeen\tshown\tto\tplay\tan\tincreasingly\timportant\trole\tin\tsports
|
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] |
performance\tbeyond\tits\trole\tin\tcalcium\tabsorption\tand\tuse\tin\tbone\tformation\t(\nTodd\tet\tal,\t2015\n).\tAs\ta\nsecosteroid\thormone,\tupon\tactivation\tto\t1,25-hydroxy\tvitamin\tD\n3\n,\tvitamin\tD\tresponsive\tgene\nexpression\tis\taltered\twith\tmore\tthan\t1000\tresponsive\tgenes\taffecting\tMPS,\tmuscle\tstrength,\tmuscle\nsize,\treaction
|
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] |
size,\treaction\n\ttime,\tbalance\tcoordination,\tendurance,\tinflammation,\tand\timmunity,\tall\tof\twhich\tare\nimportant\tto\tathletic\tperformance\t(\nBox\t22.6\n).\nBOX\t22.6\nVitamin\tD\tand\tAthletic\tPerformance\nVitamin\tD\tpotential\timpact\ton\tathletic\tperformance\nPositive\teffect\ton\tmuscle\tstrength,\tpower,\tand\tmass
|
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Positive\teffect\ton\tmuscle\tstrength,\tpower,\tand\tmass\nIncreased\tforce\tand\tpower\toutput\tof\tskeletal\tmuscle\ttissue\nMay\tinfluence\tmaximal\toxygen\tuptake\t(VO\n2\nmax)
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] |
Improved\tskeletal\tmuscle\tfunction\tand\tbone\tstrength\nPotentially\tincreased\tsize\tand\tnumber\tof\ttype\tII\tmuscle\tfibers\nDecreased\trecovery\ttime\tfrom\ttraining\nIncrease\ttestosterone\tproduction\nFrom\tDahlquist\tDT\tet\tal:\tPlausible\tergogenic\teffects\tof\tvitamin\tD\ton\tathletic\tperformance\tand\trecovery,\t\nJ\nInt\tSoc\tSports\tNutr\n,\t12:33,\t2015.
|
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J\nInt\tSoc\tSports\tNutr\n,\t12:33,\t2015.\nVitamin\tD\tdeficiency\tmay\tbe\tmore\tcommon\tin\tathletes\tthan\tpreviously\n\tthought,\tespecially\tin\nspecific\tgroups\t(\nShuler\tet\tal,\t2012\n).\tThe\tprevalence\tappears\tto\tvary\tby\tsport,\ttraining\tlocation,\ttime\nof\tyear,\tand\tskin\tcolor\t(\nRawson\tet\tal,\t2018\n).\tResearch\thas\tshown\tthat\tmore\tthan\t75%\tof\tCaucasians
|
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] |
).\tResearch\thas\tshown\tthat\tmore\tthan\t75%\tof\tCaucasians\nand\t90%\tof\tAfrican\tAmericans\tand\tLatinos\tare\tpossibly\tvitamin\tD\tdeficient\taccording\tto\tset\tvalues.\tIt\nis\tpossible\tthat\tup\tto\t77%\tof\tathletes\twho\tlive\tin\tnorthern\tclimates\twith\n\tlittle\twinter\tsunlight\tand\nwho\tare\tindoor\tathletes\t(94%\tof\tbasketball\tplayers\tand\t83%\tof\tgymnasts)\tmay\tbe\taffected\tby
|
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] |
deficiencies\tof\tvitamin\tD\t(\nSikora-Klak\tet\tal,\t2018\n).\tOne\trecent\tstudy\tshowed\tvitamin\tD\tdeficiency\tis\nquite\tcommon\tamong\tNational\tBasketball\tAssociation\t(NBA)\tDraft\tCombine\tparticipants,\taffecting\n73.5%\t(\nGrieshober\tet\tal,\t2018\n).\tOutdoor\tathletes\tmay\tnot\thave\tan\tadvantage\tover\tindoor\n\tathletes;\tin
|
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athletes;\tin\na\tNational\tFootball\tLeague\t(NFL)\tstudy,\t81%\tof\tCaucasian\tand\tAfrican\tAmerican\tplayers\tmay\tbe\tat\nrisk\tfor\tdeficiency.\tBlood\ttests\tcan\tbetter\tdetermine\tdeficiency\tstates.\nAlthough\tthe\tspecific\tamount\tof\tvitamin\tD\tneeded\tto\treverse\tdeficiency\tstates\thas\tnot\tbeen
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0.010782796889543533
] |
determined,\tpartly\tbecause\tit\tdepends\ton\tthe\textent\tof\tdeficiency,\tathletes\tshould\tbe\ttested\tand\nguided\tby\ta\thealth\tprofessional\n\tif\tdiagnosed\twith\ta\tdeficiency\t(see\t\nChapter\t5\n\tand\t\nAppendices\t12\n\tand\n38\n).\nAfter\ta\tdetailed\tassessment,\trecommendations\tfor\tattaining\tand\tmaintaining\toptimal\tvitamin\tD
|
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] |
levels\tcan\tbe\tindividualized\tto\tthe\tathlete’s\tcurrent\t25(OH)D\tconcentration,\tdietary\tintake,\tlifestyle\nhabits\tand\tclinical\tsymptoms.\tThe\trecommendation\tfor\tfair-skinned\tindividuals\tis\tto\tobtain\t5\tminutes\nand\tfor\tdark-skinned\tindividuals,\n\t30\tminutes\tof\tsunlight\texposure\tto\tarms,\tlegs,\tand\tback\tseveral\ntimes\ta\tweek\twithout\tsunscreen\t(see
|
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] |
times\ta\tweek\twithout\tsunscreen\t(see\t\nAppendix\t38\n).\tShort-term,\thigh-dose\t“loading”\tregimens\tfor\nrapid\trepletion\tunder\tthe\tcare\tof\ta\tphysician\talso\tmay\tbe\tbeneficial\t(\nTodd\tet\tal,\t2015\n).\nMinerals\nAlthough\t12\tminerals\thave\tbeen\tshown\tto\tbe\tdesignated\tas\tessential\tnutrients,\tiron,\tcalcium,\nmagnesium,\tand\tcopper\thave\tbiochemical\tfunctions
|
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] |
magnesium,\tand\tcopper\thave\tbiochemical\tfunctions\n\twith\tthe\tpotential\tto\taffect\tathletic\tperformance.\nIron\nIron\tis\tcritical\tfor\tsport\tperformance\tbecause,\tas\ta\tcomponent\tof\themoglobin,\tit\tis\tinstrumental\tin\ntransporting\toxygen\tfrom\tthe\tlungs\tto\tthe\ttissues.\tIt\tperforms\ta\tsimilar\trole\tin\t\nmyoglobin\n,\twhich
|
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] |
aerobic\tendurance\tand\tthe\tcapacity\tfor\twork.\tEven\tpartial\tdepletion\tof\tiron\tstores\tin\tthe\tliver,\nspleen,\tand\tbone\tmarrow,\tas\tevidenced\tby\tlow\tserum\tferritin\tlevels,\tmay\thave\ta\tdetrimental\teffect\ton\nexercise\tperformance,\teven\twhen\tanemia\tis\tnot\tpresent\n\t(see\t\nChapter\t31\n).\nSports\tanemia
|
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] |
(see\t\nChapter\t31\n).\nSports\tanemia\n\tis\ta\tterm\tapplied\tto\tat\tleast\tthree\tdifferent\tconditions:\themodilution,\tiron\ndeficiency\tanemia,\tand\tfoot-strike\tanemia.\tAthletes\tat\trisk\tare\tthe\trapidly\tgrowing\tmale\tadolescent;\nthe\tfemale\tathlete\twith\theavy\tmenstrual\tlosses;\tthe\tathlete\twith\tan\tenergy-restricted\tdiet;\tdistance
|
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runners\twho\tmay\thave\tincreased\tGI\tiron\tloss,\thematuria,\themolysis\tcaused\tby\tfoot\timpact,\n\tand\nmyoglobin\tleakage;\tand\tthose\ttraining\twith\theavy\tsweating\tin\thot\tclimates.\tRecent\tresearch\nsuggests\tthat\tanemia\tmay\tbe\tcommon\tin\tfemale\tathletes,\tespecially\tadolescent\tand\tpremenopausal
|
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females,\tlong-distance\trunners,\tand\tvegetarians,\twho\tshould\tbe\tscreened\tperiodically\tto\tassess\ttheir\niron\tstatus.\tOne\tretrospective\tanalysis\tof\troutine\tblood\ttest\tdata\ttaken\tfrom\t2009\tto\t2015\tfrom\telite\nlevel\n\trunners\tand\ttriathletes\t21\tto\t36\tyears\told\tshowed\ta\thigher\tincidence\tof\tat\tleast\t1\tepisode\tof
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iron\tdeficiency\tin\t60%\tof\tfemale\ttriathletes,\t55.6%\tof\tfemale\trunners,\t37.5%\tof\tmale\ttriathletes,\tand\n31.3%\tof\tmale\trunners\tcompared\twith\tvalues\treported\tfor\tendurance\tathletes\t(20%\tto\t50%\tfemales,\n0%\tto\t17%\tmales)\t(\nCoates\tet\tal,\t2017\n).\tIn\tanother\tstudy\tof\t2749\tcollegiate\tathletes,\t2.2%\tof\tfemales\nindicated
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] |
indicated\n\tiron\tdeficiency\tanemia\tand\t30.9%\tindicated\tiron\tdeficiency\twithout\tanemia.\tFor\tmale\nathletes,\t1.2%\tindicated\tiron\tdeficiency\tanemia\tand\t2.9%\tindicated\tiron\tdeficiency\twithout\tanemia\n(\nParks\tet\tal,\t2017\n)\nHeavy\tendurance\ttraining\talso\tcan\tcause\ta\ttransient\tdecrease\tin\tserum\tferritin\tand\themoglobin.\nThis\tcondition,\tknown\tas\t\npseudoanemia
|
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] |
This\tcondition,\tknown\tas\t\npseudoanemia\n,\tis\tcharacterized\tby\treduced\themoglobin\tlevels\tresulting\nfrom\n\texpanding\tblood\tvolumes\tthat\tare\talmost\tthose\tof\tclinical\tanemia\tbut\treturn\tto\tpretraining\nnormal\tlevels.\tPerformance\tdoes\tnot\tappear\tto\tdeteriorate\tand\tthe\tpseudoanemia\tmay\tin\tfact\nimprove\taerobic\tcapacity\tand\tperformance\t(\nMcArdle\tet\tal,\t2014
|
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improve\taerobic\tcapacity\tand\tperformance\t(\nMcArdle\tet\tal,\t2014\n).\nSome\tathletes,\tespecially\tlong-distance\trunners,\texperience\tGI\tbleeding\tthat\tis\trelated\tto\tthe\nintensity\tand\tduration\tof\tthe\texercise,\tthe\tathlete’s\n\tability\tto\tstay\thydrated,\thow\twell\tthe\tathlete\tis
|
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] |
ability\tto\tstay\thydrated,\thow\twell\tthe\tathlete\tis\ntrained,\tand\twhether\tthey\thave\ttaken\tibuprofen\tbefore\tthe\tcompetition.\tIron\tloss\tfrom\tGI\tbleeding\ncan\tbe\tdetected\tby\tfecal\themoglobin\tassays.\nIt\tis\tpossible\tthat\tusing\tserum\themoglobin\tas\tthe\tdetermining\tfactor\tfor\tidentifying\tanemic
|
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] |
athletes\twho\tmay\tbenefit\tfrom\tiron\tsupplementation\twith\tperformance\timprovement\tis\tnot\tthe\tbest\nbiomarker.\tNonanemic\n\tathletes\t(with\tnormal\tserum\themoglobin)\twho\tare\tsupplemented\twith\tiron\nhave\tshown\timproved\tperformance.\tOptimal\tlevels\tof\tserum\tferritin,\twhich\tis\tthe\tmost\tcommon
|
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] |
index\tof\tbody\tiron\tstatus\tassociated\twith\tperformance,\tand\tthus\ta\tbetter\tmarker,\tmay\talso\tbe
|
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] |
inadequate,\tbecause\tathletes\tsupplemented\twith\tiron\tto\tachieve\thigher\tthan\t“normal”\tserum\tferritin\nlevels\thave\talso\tshown\timproved\tperformance\n\t(\nDellaValle,\t2013\n).\tSome\tathletes\texperience\tiron\ndeficiency\twithout\tanemia\tand\thave\tnormal\themoglobin\tlevels\tbut\treduced\tlevels\tof\tserum\tferritin\n(20\tto\t30\tng/mL;\tsee\t\nChapter\t5\n).
|
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] |
(20\tto\t30\tng/mL;\tsee\t\nChapter\t5\n).\nAthletes\tshould\tbe\tassessed\tfor\ttheir\tiron\tstatus\tusing\tserum\themoglobin\tand\tserum\tferritin\tat\tthe\nbeginning\tof\tand\tduring\tthe\ttraining\tseason.\tThis\tis\tespecially\timportant\tin\tthose\tsuspected\tto\thave\nsickle\tcell\ttrait\n\t(SCT)\tbecause\ttheir\trate\tof\tsudden\tdeath\tis\t10\tto\t30\ttimes\thigher\tthan\tin\tnon-SCT
|
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] |
athletes.\tTypically\tdeaths\thave\toccurred\tearly\tin\tthe\tseason,\tduring\texhaustive\tdrills\tin\thot\tweather\nwithout\tadequate\twarmup\ttime\t(\nHarris\tet\tal,\t2012\n).\tIn\t2010\tthe\tNCAA\tinstituted\ta\tuniversal\nscreening\tprogram\tto\ttest\tfor\tSCT\tin\tall\tDivision\tI\tathletes;\thowever,\tin\tathletes\tat\tthe\thigh\tschool\nlevel,\tand\tin\tthe\tNBA,
|
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] |
level,\tand\tin\tthe\tNBA,\n\tNFL,\tNavy,\tMarines,\tand\tAir\tForce,\ttesting\tis\tnot\trequired\t(\nJung\tet\tal,\t2011\n).\nAlthough\tmale\tathletes\thave\tbeen\treported\tto\tconsume\tat\tleast\tthe\tRDA\tfor\tiron,\tfemale\tathletes\ntend\tto\tconsume\tsomewhat\tless\tfor\ta\tvariety\tof\treasons,\tincluding\tlow\tenergy\tintake,\tlower\tintake\tof
|
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] |
animal\tproducts,\tor\tadherence\tto\ta\tvegetarian\tor\tvegan\tdiet\t(\nRogerson,\t2017\n).\tIncreasing\tdietary\nintake\tof\tiron\tor\tsupplementation\n\tis\tthe\tonly\tway\tto\treplace\tiron\tlosses\tand\timprove\tstatus\n(\nFarrokhyar,\t2015\n).\nWho\tshould\tbe\tsupplemented\tand\twith\thow\tmuch\tiron\tremains\tto\tbe\tanswered.\tGiven\tthe\tevidence
|
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] |
suggesting\tiron’s\trole\tin\toverall\thealth\tand\tphysical\tperformance,\tthere\tis\tno\tdebate\tthat\tathletes\nwith\tclinical\tdeficiency\tshould\tbe\tidentified\tand\ttreated.\tWhether\tthose\twith\tsubclinical\tdeficiency\nshould\tbe\ttreated\twith\n\tiron\tsupplementation\tremains\tcontroversial.\tIndividuals\twith\tnormal\tstatus
|
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] |
typically\tdo\tnot\tbenefit\tfrom\tsupplementation,\tand\tconcerns\tregarding\tunregulated\tdoses\tand\noverload\tshould\tbe\tconsidered.\nCalcium\nSuboptimal\tlevels\tof\tdietary\tcalcium\tintake\tare\tseen\tin\tathletes.\tBecause\tlow\tlevels\tof\tcalcium\tintake\nhave\tbeen\tshown\tto\tbe\ta\tcontributing\tfactor\tin\tosteoporosis,\tyoung\tfemale\tathletes,\n\tespecially\tthose
|
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especially\tthose\nwho\thave\thad\tinterrupted\tmenstrual\tfunction,\tmay\tbe\tat\trisk\tfor\tdecreased\tbone\tmass.\tStrategies\tto\npromote\tthe\tresumption\tof\tmenses\tinclude\testrogen\treplacement\ttherapy,\tpromotion\tof\toptimal\nweight\tstatus,\tand\treduced\ttraining.\tRegardless\tof\tmenstrual\thistory,\tmost\tfemale\tathletes\tneed\tto\nincrease\ttheir\tcalcium,\tvitamin\tD\n3
|
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] |
increase\ttheir\tcalcium,\tvitamin\tD\n3\n,\tand\tmagnesium\tintake.\tDairy\tand\tnondairy\toptions\tsuch\n\tas\nfortified\talmond,\tflax,\tand\tsoy\tbeverages,\tyogurts\tand\tcheeses,\tcalcium-fortified\tfruit\tjuices,\tand\ttofu\nmade\twith\tcalcium\tsulfate\tare\tgood\tsources\t(see\t\nAppendix\t39\n).\nMagnesium
|
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] |
Appendix\t39\n).\nMagnesium\nMagnesium\tis\tan\tessential\tmineral\tthat\tsupports\tmore\tthan\t300\tenzymatic\treactions\tincluding\nglycolysis,\tfat\tand\tprotein\tmetabolism,\tand\tATP\thydrolysis,\tand\tis\ta\tregulator\tof\tneuromuscular,\nimmune,\tand\thormonal\tfunctions.\n\tAlthough\thypomagnesemia\thas\tbeen\tseen\tin\tathletes,\tpossibly
|
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Although\thypomagnesemia\thas\tbeen\tseen\tin\tathletes,\tpossibly\ncaused\tby\texcessive\tsweating\twhile\ttraining\tand\ttransient\tredistribution\tof\tmagnesium\tindicating\ta\nrelease\tfrom\tone\tstorage\tarea\tto\tan\tactive\tsite,\tlevels\treturn\tto\tnormal\twithin\t24\thours\tafter\texercise\n(\nMalliaropoulos\tet\tal,\t2013\n).
|
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] |
(\nMalliaropoulos\tet\tal,\t2013\n).\nTrue\tmagnesium\tdeficiency\thas\tbeen\tshown\tto\timpair\tathletic\tperformance,\tcausing\tmuscle\nspasms\tand\tincreased\n\theart\trate\tand\tVO\n2\n\tduring\tsubmaximal\texercise.\tFor\tdeficient\tathletes,\nsupplemental\tmagnesium\thas\tbeen\tshown\tto\timprove\tperformance\tby\timproving\tcellular\tfunction,
|
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] |
although\tin\tathletes\twith\tadequate\tstatus,\tperformance\toutcomes\tare\tmixed\t(\nKass\tet\tal,\t2013\n).\tIn\none\trecent\tstudy\twith\tfemale\tvolleyball\tplayers,\tmagnesium\tsupplementation\timproved\talactic\t(does\nnot\tproduce\tany\tlactic\tacid)\tanaerobic\n\tmetabolism,\teven\tthough\tthe\tplayers\twere\tnot\tmagnesium\ndeficient\t(\nSetaro\tet\tal,\t2014
|
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] |
deficient\t(\nSetaro\tet\tal,\t2014\n).\tIn\tanother\tstudy\twith\tyoung\tmen\tparticipating\tin\ta\tstrength\ttraining\nprogram\tfor\t7\tweeks,\tdaily\tmagnesium\tintake\tof\t8\tmg/kg\tof\tbody\tweight\tresulted\tin\tincreases\tin\nmuscle\tstrength\tand\tpower,\twhereas\tmarathon\trunners\twith\tadequate\tstores\tdid\tnot\tseem\tto\tbenefit\n(\nMoslehi\tet\tal,\t2013
|
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] |
(\nMoslehi\tet\tal,\t2013\n).\tAs\twith\tmost\tnutrients,\tsupplementation\n\tdoes\tnot\tseem\tto\timprove\nperformance\tin\tthose\twho\tare\tnot\tdeficient.\tFood\tsources\tof\tmagnesium\tinclude\twhole\tgrains,\tnuts,\nbeans,\tand\tleafy\tgreens.\tSee\t\nAppendix\t43\n\tfor\tsources\tof\tmagnesium.
|
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] |
beans,\tand\tleafy\tgreens.\tSee\t\nAppendix\t43\n\tfor\tsources\tof\tmagnesium.\nIn\ta\t2017\tmeta-analysis,\tno\tsignificant\timprovements\tin\tthe\tsupplementation\tgroup\twere\tobserved\nregarding\tisokinetic\tpeak\ttorque\textension,\tmuscle,\tor\tmuscle\tpower,\tnor\tdoes\tthe\tevidence\tsupport\na\tbeneficial
|
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a\tbeneficial\n\teffect\tof\tsupplementation\ton\tmuscle\tfitness\tin\tmost\tathletes\tand\tphysically\tactive\nindividuals\twho\thave\ta\trelatively\thigh\tMg\tstatus\t(\nWang\tet\tal,\t2017\n).\nCLINICAL\tINSIGHT\nGastrointestinal\tIssues\tin\tAthletes\nGut\tissues\tare\ta\tcommon\tproblem,\taffecting\tabout\t45%\tto\t85%\tof\tathletes,\t30%\tto\t50%\ton\ta\nregular\tbasis\tand\tin\t70%\tof\trunners\t(
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regular\tbasis\tand\tin\t70%\tof\trunners\t(\nJeukendrup,\t2017a\n;\t\nKoon\tet\tal,\t2017\n;\t\nter\tSteege\tet\tal,\t2012\n).\nIssues\tcan\taffect\tthe\tupper\tGI\ttract,\tsuch\tas\treflux,\theart\tburn,\tchest\tpain,\tnausea,\tvomiting,\ngastritis,\tpeptic\tulcers,\tbleeding,\tor\t\nexercise\trelated\ttransient\tabdominal\tpain\t(ETAP)\n,\talso
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] |
exercise\trelated\ttransient\tabdominal\tpain\t(ETAP)\n,\talso\nknown\tas\t“stitches,”\tor\tthe\tlower\tGI\ttract,\tsuch\tas\tgas,\tbloating,\texcessive\turge\tto\tdefecate,\ndiarrhea,\themorrhoids,\tand\tcolitis.\nGenetic\tand\tindividualized\tdifferences,\texercise\tenvironments,\tand\tlife\n\tstressors\tcan\taffect\tthe\nathlete’s\tgut\tfunction,\t\nmicrobiome
|
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] |
stressors\tcan\taffect\tthe\nathlete’s\tgut\tfunction,\t\nmicrobiome\n,\tand\ttolerance\tof\tspecific\tfoods.\tAlthough\ta\tdirect\nrelationship\tbetween\texercise\tand\tgut\tmicrobial\tcomposition\tor\tfunction\thas\tnot\tbeen\nestablished,\tthere\tare\tseveral\tmechanisms\tby\twhich\tphysical\tactivity\tmight\tmodify\tthe\tmicrobiota
|
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] |
and\timpact\timmune\tstatus,\tgut\tfunction,\tthe\tincidence\tof\tupper\trespiratory\tinfections\t(URI),\nmood,\tand\n\tsports\tperformance\t(\nClark\tand\tMach,\t2017\n;\t\nFoster\tet\tal,\t2017\n;\t\nHart,\t2018\n;\t\nO’Sullivan\net\tal,\t2015\n).
|
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] |
It\tappears\tthat\texercise\timpacts\tthe\tbrain-gut-microbe\taxis,\tdiet\tmicrobe\thost\tmetabolic\ninteractions,\tneuroendocrine\tand\tneuroimmune\tinteractions;\tand\tan\tindividual\tathlete’s\tresponse\nto\tphysical\tstress.\tIt\tis\tthought\tthat\tthe\tmicrobiota\tcan\tact\tlike\tan\tendocrine\torgan\tsecreting\nserotonin,\tdopamine,
|
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] |
serotonin,\tdopamine,\n\tor\tother\tneurotransmitters\tthat\tcan\tmodify\tthe\tstress\tresponse\tin\tathletes.\nThere\tis\talso\tevidence\tto\tsuggest\tthat\texercise-induced\tstress,\tboth\tphysiologic\tand\temotional,\ncan\tmodulate\tthe\tcomposition\tof\tgut\tmicrobiota\tand\tvice\tversa\t(\nClark\tand\tMach,\t2017\n).
|
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Clark\tand\tMach,\t2017\n).\nAdditionally,\tchanges\tin\tmechanical\tforces\tseen\twith\tendurance\tsports,\t(i.e.,\tlong-distance\nrunning\tand\ttriathlon)\tinclude\taltered\tGI\tblood\n\tflow\tand\tGI\tmotility,\talong\twith\tneuroendocrine\nchanges\tfrom\ttraining.\tETAP\tmay\tbe\tpossibly\tdue\tto\tirritation\tof\tthe\tperitoneum\talthough\tgastric
|
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] |
or\tdiaphragm\tischemia,\tmuscular\tcramping,\tand\tstretching\tof\tthe\tvisceral\tligaments\tof\tthe\tsolid\norgans\thave\talso\tbeen\tproposed\t(\nKoon\tet\tal,\t2017\n).\nOther\tfactors\tsuch\tas\tthe\tathlete’s\tpretraining\tand/or\tprecompetition\tdiet,\tclimate\tchanges,\ncool\tto\tvery\n\thot/humid\tconditions,\temotional\tstress\tdue\tto\tcompetition,\tdehydration,\tnonsteroidal
|
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] |
antiinflammatory\tdrug\t(NSAID)\tuse,\tand\twhether\tor\tnot\tthe\tathlete\thas\tevacuated\tbefore\texercise\n(bowel\tmovement)\tmay\talso\tadd\tto\tGI\tdistress.\nIt\tis\testimated\tthat\t20%\tto\t60%\tof\tathletes\tare\timpacted\tby\tthe\tstress\tof\texcessive\ttraining,\nespecially\tendurance\ttraining\talong\twith\tinadequate\trecovery,\tand\tthe\timpacts\n\thave\talso\tbeen
|
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] |
have\talso\tbeen\nshown\tto\tincrease\twith\texercise\tintensity\t(\nClark\tand\tMach,\t2017\n;\t\nLamprecht\tet\tal,\t2012\n).\nEducating\tathletes\ton\tbest\tpretraining\tand\tprecompetition\tfueling;\tapplying\ta\tperiodization\ttrial\nand\terror\twith\tsimple\tplain,\tlow\tfiber,\tlow\tfat,\tspice\tfree\tsolid\tor\tliquid,\twhole\tor\tsport\tfood\twith
|
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] |
varying\tamounts\tand\ttypes\tof\tcarbohydrate\tsources\tand\tblends\tis\tone\tstrategy\tfor\teliminating\npotential\tGI\tissues.\nAssessment\ttools\tused\tto\trule\tout\tfood-related\tissues\tinclude\t(1)\ta\tthorough\tdietary\tanalysis\nincluding\tan\tanalysis\tof\tfoods,\tfluids,\talcohol\tuse,\tand\tsupplements\tconsumed\tbefore,\tduring,\tand
|
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] |
after\ttraining;\t(2)\tfood\tsensitivity\tor\tallergy\ttesting\tto\tdetermine\twhether\tfood\tintolerances\tto\ngluten,\tlactose,\tor\tother\tfoods\tor\therbals\texist;\t(3)\ta\tbowel\tfunction\tand\tchronic\tGI\n\tdisease\thistory\nand\tfunctional\tcomprehensive\tstool\ttest;\t(4)\ta\thistory\tof\toverall\tfluid\tintake\tand\tpossible
|
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dehydration\tbecause\tof\tchanges\tin\ttraining\tclimate;\tand\t(5)\ta\thistory\tof\tinfections\tand\tantibiotic\nuse.\nTraining\tand\tdietary\tprograms\tthat\taim\tto\tbalance\tthe\tsystematic\tstressors\tthat\tathletes\nexperience\ttogether\twith\tpersonalized\tdiet\tplans\tto\timprove\tperformance\tcan\treduce\texercise-\nrelated
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related\n\tstress\tsymptoms\tand\timprove\tgut\tfunction\tand\tathletic\tperformance.\tOne\tstudy\tthat\nsupports\tthis\tis\twith\tan\tIrish\trugby\tfootball\tteam\tduring\tWorld\tCup\ttraining\tcamp.\tCompared\twith\ncontrols,\tmonitoring\tdiet\tand\texercise\twhile\ttraining\tunder\textreme\ttraining\tconditions\twas\tfound
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to\tlower\tlevels\tof\tinflammatory\tcytokines\tand\tincrease\tfecal\tmicrobial\tdiversity.\tThis\tsuggests\tthat\nexercise\tcan\tplay\n\ta\tprotective\tand\tpositive\trole\tin\tnourishing\tthe\tmicrobiota\twhen\tathletes\tare\nnutritionally\twell\tfed\tand\ttraining\tincorporates\tadequate\trecovery\t(\nO’Sullivan\tet\tal,\t2015\n).\tThis
|
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] |
O’Sullivan\tet\tal,\t2015\n).\tThis\nsupports\ta\tbody\tof\tresearch\tthat\tsuggests\tthat\tthe\tGI\tsystem\tis\thighly\tadaptable.\tThe\trate\tof\ngastric\temptying\tand\tperceptions\tof\tfullness\tcan\tbe\tdecreased\tor\t“trained,”\tand\tthe\tdiet\tcan\tplay\nan\timportant\trole\t(\nJeukendrup,\t2017a\n).
|
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] |
an\timportant\trole\t(\nJeukendrup,\t2017a\n).\nNutritional\tstrategies\tfor\tovercoming\tGI\tissues\tinclude\tan\telimination\tdiet\tor\tlow\tFODMAP\tdiet,\nand/or\ta\tcompetition-day\tdiet\tthat\tis\tindividualized\tto\tthe\tathlete\tbased\ton\ttheir\ttolerance\tof\nfoods.\tAnother\tstrategy\tis\tto\toffer\ta\thigh-carbohydrate\tdiet,\tas\tthis\tcan\tincrease\tthe\tactivity\tof
|
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glucose-1\ttransporters\t(SGLT1)\tin\tthe\tintestine\tallowing\tgreater\tcarbohydrate\tuptake\tand\noxidation\tduring\n\texercise\t(\nJeukendrup,\t2017b\n;\t\nKoon\tet\tal,\t2017\n).\nErgogenic\tAIDS\nAthletes\tare\talways\tlooking\tfor\tan\tedge,\tsuch\tas\ta\tnew\ttechnique,\ta\ttraining\tregimen,\tor\tgear\tthat
|
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might\thelp\tthem\timprove\tathletic\tperformance,\tincrease\tstrength\tand\tspeed,\tor\thasten\trecovery\nafter\ttraining.\tMany\tathletes\ttest\tthe\tlatest\ttrendy\tdiet\tor\tsupplement\tto\tachieve\tsports\tsuccess\tin\nspite\tof\twhether\tit\tsupports\toptimal\n\thealth\tor,\tat\tworst,\tleads\tto\tthe\trisk\tof\tillness,\tinjury,\tor\ta\tfailing
|
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drug\tdoping\tblood\ttest.\tUnfortunately,\tmany\tathletes\tare\tmisinformed\tabout\tthe\tbest\tway\tto\tachieve\nsports\tperformance\twith\tdiet\talone\t(\nKanter,\t2018\n).\nErgogenic\taids\n\tinclude\tany\ttraining\ttechnique,\tmechanical\tdevice,\tnutrition\tpractice,\npharmacologic\tmethod,\tor\tphysiologic\ttechnique\tthat\tcan\timprove\texercise\tperformance\tcapacity
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and\ttraining\tadaptations.\tMany\tathletes\tdevote\tsubstantial\ttime\tand\tenergy\tstriving\tfor\toptimal\nperformance\tand\ttraining\tand\tturn\tto\tergogenic\taids,\tespecially\tdietary\tsupplements\t(\nLarson-Meyer\net\tal,\t2018\n).\nThe\tFood\tand\tDrug\tAdministration\t(FDA)\tregulates\tdietary\tsupplement\tproducts\tand\tingredients\tin
|
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] |
addition\tto\tlabeling,\tproduct\tclaims,\tpackage\tinserts,\tand\taccompanying\tliterature.\tThe\tFederal\nTrade\tCommission\t(FTC)\tregulates\tdietary\tsupplement\tadvertising.\t(See\t\nChapter\t11\n\tfor\ta\tdefinition\nof\ta\tdietary\tsupplement\tas\tdefined\tby\tthe\tDietary\tSupplement\tHealth\tand\tEducation\tAct\t[DSHEA]\tof\n1994.)
|
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1994.)\nAccording\tto\tthe\tlaw,\tdietary\tsupplement\tmanufacturers\tare\tallowed\tto\tpublish\tinformation\tabout\nthe\tbenefits\tof\tdietary\tsupplements\tin\tthe\tform\tof\tadvertisements,\tincluding\tstructure\tand\tfunction\nclaims.\tThis\tresults\tin\ta\tgreat\tdeal\tof\tprinted\tmaterial\tthat\tcan\tbe\tconfusing\tto\tathletes\tat\tthe\tpoint
|
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of\tsale\tof\tnutritional\tproducts.\tIn\taddition,\tathletes\tare\tbombarded\twith\tadvertisements\tand\ntestimonials\tfrom\tother\tathletes\tand\tcoaches\tabout\tthe\teffects\tof\tdietary\tsupplements\ton\nperformance.\nThe\tuse\tof\tergogenic\taids\tin\tthe\tform\tof\tdietary\tsupplements\tis\twidespread\tin\tall\tsports\t(\nGarthe\nand\tMaughan,\t2018
|
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Garthe\nand\tMaughan,\t2018\n).\tMany\tathletes,\twhether\trecreational\tor\tprofessional,\tuse\tsome\tform\tof\tdietary\nsupplementation\tto\timprove\tathletic\tperformance\tor\tto\tassist\twith\tweight\tloss\t(\nKnapik\tet\tal,\t2016\n;\nLarson-Meyer\tet\tal,\t2018\n).\nAccording\tto\tone\tsurvey,\t88%\tof\tcollegiate\tathletes\treport\tusing\tone\tor\tmore\tnutritional
|
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] |
supplements\t(\nBuell\tet\tal,\t2013\n).\tA\trecent\tmeta-analysis\tof\t159\tstudies\tsuggested\tthat\tit\tis\tdifficult\n\tto\ngeneralize\tabout\tdietary\tsupplement\tuse\tby\tathletes\tbecause\tof\tthe\tlack\tof\thomogeneity\tamong\nstudies\t(\nKnapik\tet\tal,\t2016\n).\tData\thas\tsuggested\tthat\telite\tathletes\tuse\tdietary\tsupplements\tmore
|
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] |
than\tnonelite\tathletes,\tuse\tis\tsimilar\tfor\tmen\tand\twomen,\tand\tappears\tto\tchange\tlittle\tover\ttime.\nAdditionally,\ta\tlarger\tproportion\tof\tathletes\tuse\tdietary\tsupplements\tcompared\twith\tthe\tgeneral\tU.S.\npopulation.\nSurveys\tshow\treasons\tfor\tsupplement\tuse\tare\tvaried\tand\tdiffer\tbetween\tgenders.\tWomen\tathletes
|
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] |
supplements,\n\tmales\tfor\tsports\tperformance\tenhancement\tand\tbetter\tmuscle\tdevelopment\tand\nfunction,\twhereas\tfemales\treported\ttaking\tsupplements\tfor\timmune\tsystem\timprovement\t(\nZdešar\nKotnik\tet\tal,\t2017\n).\tSee\t\nTable\t22.5\n\tfor\tdiscussion\tof\tergogenic\taids\tcommonly\tused\tby\tathletes.\nTABLE\t22.5
|
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] |
TABLE\t22.5\nCommonly\tUsed\tBanned\tand\tRecreational\tDrugs\tUsed\tby\tAthletes\nErgogenic\tDrug\nGoals\tof\tUse\nAthletic\tEffect\nAdverse\tEffects\nAlcohol\nReduce\tstress\tand\ninhibition;\tmost\nwidespread\nused\tdrug\tin\nsport\t(88%\tof\nintercollegiate\nathletes)\nNo\tbenefits\nDependence\tproducing;\ttwofold\thigher\nrisk\tof\tinjury;\tcardiovascular/liver
|
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risk\tof\tinjury;\tcardiovascular/liver\ndisease;\tworsens\tleft\tventricular\ndysfunction;\tdecreases\tamino\tacid,\nglucose\tutilization;\tdecreases\nenergy,\thypoglycemia;\tdehydration;\ndecreases\tskeletal\tmuscle\tcapillary\ndensity,\tcross-sectional\tarea;\ninhibits\tsarcolemmal\tcalcium\nchannel\tactions,\timpairs\texcitation-\ncontraction\tcoupling\tand\tdiminishes
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contraction\tcoupling\tand\tdiminishes\nperformance;\tdecreases\tmuscle\noxidative\tcapability;\tcompromises\nblood\ncoagulation/fibrinolysis/postexercise\nperturbations\tin\tclotting\tfactors;\npositive\tenergy\tbalance,\tobesity;\nincreases\tHR\tand\tVO\n2\n,\treductions\tin\npower\toutput\nNicotine\nCNS\npsychostimulant\nMixed:\tEnhances\nbrain\nnorepinephrine\nand\tdopamine;
|
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] |
psychostimulant\nMixed:\tEnhances\nbrain\nnorepinephrine\nand\tdopamine;\nhigher\tdoses\nenhance\nserotonin\tand\nopiate\texerting\ncalming\tand\ndepressing\neffect,\nincreases\tpain\ntolerance;\nincreases\nmuscle\tblood\nflow,\tlipolysis;\nmay\timprove\ncognitive\nfunction,\nlearning\nmemory,\tand\nreaction\ttime\nand\tfine\tmotor\nabilities;\tdelays\ncentral\tfatigue
|
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] |
reaction\ttime\nand\tfine\tmotor\nabilities;\tdelays\ncentral\tfatigue\nAddictive;\tmay\tlead\tto\tdevelopment\tof\nrespiratory,\tcardio,\n\tand\tskin\ndiseases\tand\ttobacco-related\ncancers\tif\tsmoked;\tincreases\theart\nrate\tand\tblood\tpressure,\tcardiac\nstroke\tvolume\tand\toutput,\tand\ncoronary\tblood\tflow;\tincreases\tskin\ntemperature\nTetrahydrocannabinol\n(marijuana,\tcannabis)
|
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] |
temperature\nTetrahydrocannabinol\n(marijuana,\tcannabis)\nDiminish\nnerves/pre\ncompetition\nstress,\tand\nanxiety;\nrelax/decrease\ninhibition;\nimprove\tsleep\nNo\tpositive\teffect\nIncreases\tHR\tand\tBP\tat\trest;\tphysical\nwork\tcapacity\tdecreases\n\tby\t25%;\ndecrease\tin\tstanding\tsteadiness,\nreaction\ttime,\tpsychomotor\nperformance\nAnabolic\tandrogenic\nsteroids
|
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